Transcript Health Care System - tanzania-partnership

United Republic of Tanzania
A Global Health Perspective
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Population: 39.5 million
Demographics
0-14 years of age : 44%
15-64 years of age : 54%
>65 years of age : 2.8%
Median age : 17 years
GDP per Capita $730
(Standard International Dollars per person per year)
Life expectancy at birth m/f (years): 48/50
Number of children who die before they turn
5 years old = 122 per 1,000 live births
United States:
Tanzania:
Total population: 298,213,000
Total population: 38,329,000
Gross national income per capita (PPP
international $): 41,950
Gross national income per capita (PPP
international $): 730
Life expectancy at birth m/f (years):
75/80
Life expectancy at birth m/f (years): 48/50
Healthy life expectancy at birth m/f
(years, 2002): 67/71
Probability of dying under five (per 1 000
live births): 8
Probability of dying between 15 and 60
years m/f (per 1 000 population): 137/81
Total expenditure on health per capita
(Intl $, 2004): 6,096
Total expenditure on health as % of GDP
(2004): 15.4
Figures are for 2005 unless indicated.
Source: World Health Statistics 2007
Healthy life expectancy at birth m/f
(years, 2002): 40/41
Probability of dying under five (per 1 000
live births): 122
Probability of dying between 15 and 60
years m/f (per 1 000 population): 541/505
Total expenditure on health per capita (Intl
$, 2004): 29
Total expenditure on health as % of GDP
(2004): 4.0
Figures are for 2005
UNICEF: Child Health
http://www.youtube.com/watch?v=sGs8CM_
rc50&feature=related
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Language
Kiswahili or Swahili (official),
Kiunguja (name for Swahili in
Zanzibar),
English (official, primary language
of commerce, administration, and
higher education), Arabic (widely
spoken in Zanzibar), many local
languages
Religion
mainland - Christian 30%, Muslim
35%, indigenous beliefs 35%;
Zanzibar - more than 99% Muslim
Literacy 69% of those over 15 can read and write
in either Swahili or English
Households below the poverty line : 36%
Maternal mortality ratio (MMR):
578 per 100 000 live births
Neonatal mortality ratio at 32 per
1 000 live births
Infant mortality rate is estimated
at 68 per 1 000 live births
19.3% of children are
underweight and 31.1% are
stunted in some districts
AIDS in Tanzania
HIV Prevalence (15-49 years)
: 7.7%
Number of People living with
HIV/AIDS: 1.2m – 2.3m
Number of People receiving
antiretroviral therapy (ART):
20,000
Number who need ART :
320,000
TB in Tanzania
A national emergency 2006
TB/HIV collaborative care is under
implementation
Malaria in Tanzania
Plamodium falciparum
Plasmodium vivax
Chloroquine and SP resistance reported
In 2004:
10.7 million reported cases
14,156 deaths from malaria
Malaria
http://www.youtube.com/watch?v=kdW07TN
e6pI&feature=related
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History of the United Republic of Tanzania
26th April 1964
The United Republic of Tanzania was formed out of the union of two
sovereign states namely Tanganyika and Zanzibar.
Tanganyika became a sovereign state on 9th December, 1961 and became
a Republic the following year.
Zanzibar became independent on 10th December, 1963 and the People's
Republic of Zanzibar was established after the revolution of 12th January,
1964.
The two sovereign republics formed the United Republic of Tanzania on
26th April, 1964. However, the Government of the United Republic of
Tanzania is a unitary republic consisting of the Union Government and the
Zanzibar Revolutionary Government
President Jakaya Mrisho Kikwete
(2005-2015)
Parliament: President & National
Assembly
• Pass laws for good governance
• Provide legislative sanction to
taxation and acquisition of
means to carrying out the work
of the government
• Scrutinize government policy
and administration
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Zanibar
Zanzibar elects a president who is head of
government for matters internal to
Zanzibar
A referendum was held in Zanzibar on 31
July 2010 on establishing a national unity
government in Zanzibar after the election
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Cabinet
Cabinet appointed by president from
members of National Assembly
President & vice president elected on the
same ballot for five-year terms
Election held in November 2010
Prime Minister appointed by the president
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Political Parties
• Chama Cha Mapinduzi (CCM) (70%)
• Civic United Front (14%)
• Chama Cha Demokrasia na Maendeleo
(Party of Democracy and Development) or
CHADEMA (8%)
• Tanzania Labour Party (1%)
• United Democratic Party (1%)
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Examples: Parliamentary Cmtes
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Social Services
Social Welfare & Community Development
HIV/AIDS Affairs
Infrastructure
Land, Natural Resources and Environment
Agriculture, Livestock and Water
Foreign Affairs, Defence and Security
Industries and Trade
Local Government Account
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Ministry of Health & Social Welfare
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Chief Medical Officer
Preventive Health Services Division
Curative Health Services Division
Human Resource Development Division
– Health Human Resource Planning, Allied Health
Services Training, Nursing Training, Continuing
Education Training
• Health Policy & Planning Division
• Administration and Personnel Division
http://www.tanzania.go.tz/ministriesf.html
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Ministers
Dr. Samson Ferdinand Mpanda
Minister
Ministry of Health & Social Welfare
Sophia Mattayo Simba
Minister
Community Development, Gender and
Children
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Health Care System
Village Health Service: provide preventive
services (can be offered in homes).
Usually each village Health post have two
village health workers chosen by the
village government
Dispensary Services: cater between 6,000
to 10,000 people and supervise all the
village health posts
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Health Care System (2)
Health Centre Services: cater 50,000
people (administrative division)
District Hospitals: each district is supposed
to have a district hospital. Government
negotiates with religious organizations to
designate voluntary hospitals
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Health Care System (3)
Regional Hospitals: have specialists
Referral/Consultant Hospitals: Muhimbili
National Hospital (east); Kilimanjaro
Christian Medical Centre (KCMC) (north),
Bugando Hospital (west); Mbeya Hospital
(southern Highlands)
Treatment Abroad: when facilities &
equipment are not available in country
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St. Francis Designated District
Hospital
Rural Tanzania
Religious order support
Research Institute
Training centre for
nursing/AMO/interns
St. Francis Hospital
St. Francis Hospital
St. Francis Hospital
Ifakara
http://www.youtube.com/watch?v=eaF5oRfE
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Basic Swahili
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Jambo = Hello
Habari yako = how are you (singular)
Habari yenu = how are you (plural)
Mambo = Things (slang how’s things)
Vipi = how is it (slang)
Fiti = fit (fine) or Freshi = fresh (slang fine)
Salaam Aleukum = peace be with you
Aleukum Salaam = and also with you
Shikamo = respectful greeting to elder (put your hand on your
heart), response they will give is Marahaba
Jina langu ni…. = my name is….
Saidia mimi = help me
Ni nataka = I want
Tuende = we go (let’s go)
Haraka = fast
Pole pole = slow
More Swahili Terms…
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Wapi = where (where is it)
Hapa = here
Huko = there
Shika = take
Mpe = give
Sema = say
Choka = tired
Chakula = food
Dawa = medicine
Chooni = toilet
Duka or Dukani = shop or store
Tafadhali = please
Asante = thank you
Mingi = many
Sana = much as in asante sana = thank you very much
Lala = sleep
Kuoga = to bathe or to wash or to swim
Magi = water
Nyumbani = home
Swahili Language Internet Resources
• http://www.pbs.org/wonders/Episodes/Epi2/2_cult1a.htm
Learn and hear Swahili language
• http://www.ipl.org/div/hello/swahili.html Swahili for kids
• http://www.kenya-travels.com/guide/swahili.htm Swahili
for Travelers
• http://mwanasimba.online.fr/E_index.html Learn Swahili
• http://www.transparent.com/languagepages/swahili/swa
hili.htm More Swahili
• http://www.geocities.com/bujjadu/ Casual site
Tanzania Travel Internet Resources
• http://www.tanzania.go.tz/ National Republic of Tanzania Website
• http://www.lonelyplanet.com/worldguide/tanzania/
Lonely Planet Travel Site
• http://www.infoplease.com/ipa/A0108028.html Tanzania Info Site
• http://www.state.gov/r/pa/ei/bgn/2843.htm US Dept. of State Site